Prevalence and Conditions of Selection of E44D/A and V118I Human Immunodeficiency Virus Type 1 Reverse Transcriptase Mutations in Clinical Practice

Author:

Delaugerre Constance1,Mouroux Mireille1,Yvon-Groussin Anne1,Simon Anne2,Angleraud Francis1,Huraux Jean-Marie1,Agut Henri1,Katlama Christine3,Calvez Vincent1

Affiliation:

1. Departments of Virology,1

2. Internal Medicine,2 and

3. Infectious Diseases,3 Pitié-Salpêtrière Hospital, Paris, France

Abstract

ABSTRACT Recently, it has been shown that a new mutational pattern (the E44D/A and/or V118I mutation) confers moderate phenotypic lamivudine resistance in the absence of the M184V mutation. The E44D/A and/or the V118I mutation does not exist in drug-naive patients, and the prevalence increases with the number of treatment regimens and lamivudine experience. The mutations can preexist in nucleoside-experienced but lamivudine-naive patients. They are always associated with zidovudine resistance-associated mutations, even in the absence of M184V. These mutations are more stable than the M184V substitution during antiretroviral treatment interruptions.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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